Individual provider Active NPI

Katherine C Dixon, NP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1194341735
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213963 Issued in LA
Practice address
1613 Louisville Ave
Monroe, LA 71201-6027
Phone
(318) 855-3291
NPI assigned
Jun 19, 2020
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213963 LA Primary

Addresses

Primary practice location

1613 Louisville Ave
Monroe, LA 71201-6027

Mailing address

275 Hodge Watson Rd
Calhoun, LA 71225-8187
Phone (318) 372-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201118003042 LA Practitioner - Nurse Practitioner 2567873748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
213963LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Nov 1, 2020 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Nov 1, 2020 Accepting new patients
Harold J Bayonne Jr MD Apmc CurrentSince Jan 3, 2025 Accepting new patients
Harold J Bayonne Jr MD Apmc PastSince Jun 30, 2024 Accepting new patients

Locations

1613 Louisville Ave
Monroe, LA 71201
Phone (318) 855-3291

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1194341735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HODGE WATSON RD",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712258187",
            "telephone_number": "318-372-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 LOUISVILLE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016027",
            "telephone_number": "318-855-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KATHERINE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.